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360 Degree Feedback

Instructions

You are invited to provide feedback for the employee listed above in .

Providing feedback is an important responsibility. Feedback is intended to support the receiver’s success in his or her role and to be useful, i.e. - information that the receiver can understand and apply. In providing your feedback, please consider your experiences with this individual during the last twelve months.

Your feedback will be summarized with others’ in a report for the employee and his or her supervisor to use in support of the employee’s development and successful performance. The responses (for all feedback categories except for “self,” “director” and “supervisor”) remain anonymous. Please note that comments are provided in the final report exactly as written by you.

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Communication

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Communicates effectively
  1. Advises the organization on relevant opportunities and risks in the environment
  1. Addresses issues of key importance
  1. Presents issues, ideas, and strategy concisely and clearly
  1. Communicates the vision of the organization to all employees
Please offer suggestions on how [CompetencyName] can be improved.

Accountability

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Carries out responsibilities in a competent, prudent and professional manner
  1. Recognizes own areas of responsibilities and demonstrates high standards in performance related to the donor and other key stakeholders, quality, safety and overall conduct
  1. Takes ownership for actions and solutions and admits to own mistakes
  1. Develops goals and establishes objective measures of success
  1. Can be counted on to do what they say they are going to do
Please offer suggestions on how [CompetencyName] can be improved.

Customer Focus

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Knows who the 'customer' is in all situations
  1. Puts the best interests of the 'customer' first
  1. Finds ways to accommodate 'customer' requests within our means
  1. Develops strong customer relationships
  1. Ensures all customer commitments and requirements are met or exceeded
Please offer suggestions on how [CompetencyName] can be improved.

Innovation/Creativity

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Explores and implements new ideas and opportunities by challenging, "the way it has always been done"
  1. Seeks opportunities to continuously improve and achieve excellence
  1. Explores potential benefits and possibilities for new organizational partnerships
  1. Uses logical and creative approaches to produce realistic options
  1. Suggests new ideas at meetings
  1. Finds creative ways to get things done with limited resources
Please offer suggestions on how [CompetencyName] can be improved.

Managing Change

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Drives transformational change and improvement
  1. Provides leadership through change
  1. Effectively represents the organization through change, internally and externally
  1. Obtains input and feedback from stakeholders affected by changes
  1. Supports new initiatives for organizational changes to improve effectiveness
Please offer suggestions on how [CompetencyName] can be improved.

Managing Resources

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Responsibly oversees all forms of resources and ensures the efficient usage of all resources
  1. Manages within available resources
  1. Demonstrates resourcefulness in bringing additional resources to the organization
  1. Successfully recruits and retains strong human resources
  1. Leads the establishment of annual fundraising strategy and ensures the alignment of resources to execute on that strategy
Please offer suggestions on how [CompetencyName] can be improved.

Integrity

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Strives to do the right thing
  1. Honours verbal and written agreements and commitments
  1. Ensures the privacy, rights and confidentiality of others are protected at all times
  1. Develops trust and confidence from others
  1. Maintains strong relationships with others
Please offer suggestions on how [CompetencyName] can be improved.

Problem solving/issues management

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Probes skillfully to get at the facts and root causes
  1. Develops and implements the best possible solution/plan
  1. Evaluates effectiveness of solution/plan and takes action if required
  1. Identifies and assesses multiple potential responses to a problem
  1. Works diligently until the problem is solved
  1. Provides leadership to continually builds a healthy workplace culture
Please offer suggestions on how [CompetencyName] can be improved.

Relationship Management

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Acknowledges strengths and differences that others bring to the team to enhance the synergy
  1. Focuses on situation or issue and not person
  1. Uses appropriate conflict resolution style for situations
  1. Gives honest feedback and suggestions for improvement
  1. Listens to suggestions and advice from others
Please offer suggestions on how [CompetencyName] can be improved.

Respect

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Supports diversity through tolerance, equality and fairness in all interactions with others
  1. Acts in a manner that shows consideration for other’s time, space, ideas and opinions
  1. Builds and maintains trust in relationships
  1. Recognizes and values individual and cultural differences
  1. Demonstrates an understanding of other points of view
Please offer suggestions on how [CompetencyName] can be improved.

Results

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Has a "can do" attitude
  1. Understands required tasks and factors that impact on achieving results, sets realistic timelines and completes tasks on time
  1. Analyses options and decides on best action to achieve results
  1. Works toward achievement of goals even when confronted with obstacles
  1. Measures performance against goals and objectives
  1. Manages the achievement of objectives regarding the organizational priorities
Please offer suggestions on how [CompetencyName] can be improved.

Self-development

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Assesses competencies and identifies strengths and areas for development to contribute to career expectations
  1. Seeks feedback about performance and learns from others
  1. Takes ownership for personal learning development plan to enhance knowledge and skills
  1. Keep up-to-date on technical/professional issues
  1. Seeks opportunities for continuous learning
Please offer suggestions on how [CompetencyName] can be improved.

Board Support and Strategy

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Ensures strategic support to the Board as it creates strategy
  1. Provides effective support to the Board as it defines and achieves its goals
  1. Establishes the right priorities for operational focus
  1. Leads the planning and overall progress on the organisation’s key strategic initiatives
  1. Creates plans to develop and promote organisational and area strengths, as well as to address weaknesses
Please offer suggestions on how [CompetencyName] can be improved.

Systems Thinking

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Demonstrates understanding of own role and performance and how it impacts the bigger picture
  1. Seeks ways to help self and others think in a broader context
  1. Ensures the organization is appropriately aligned within the broader United Way system
  1. Works with others to ensure that all relevant information is considered for decision-making and actions
  1. Able to adapt the department to changing business demands and climate
  1. Understands how to achieve a positive outcome in various situations
Please offer suggestions on how [CompetencyName] can be improved.

Teamwork

 Not Applicable
Don't Know		 Needs
Significant
Development
1		 2 Capable
and
Efficient
3		 4 Role
Model
5
  1. Works towards achieving team consensus through effective team decision-making and problem solving
  1. Keeps team goals central in decisions and actions
  1. Shows a balance between influencing others and openness to being influenced
  1. Encourages teamwork and collaboration
  1. Identifies and resolves conflicts within the team to increase team effectiveness
  1. Creats a climate that encourages team participation
Please offer suggestions on how [CompetencyName] can be improved.


Open-Ended Comments

Considering your comments, please answer the following:

What are the strengths that you admire in this person?

What improvements, learning or development would you recommend for this person?


Please include any additional comments that you think will help the employee in his/her professional development.

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